Abstract
With this article we present our initial experience with interventional sialendoscopy of the parotid duct for the parotid calculi. We carried out a prospective study of patients of parotid calculi in a tertiary referral centre. Diagnostic and interventional sialendoscopy was performed in five cases of parotid calculi. The outcome was classified on the basis of clearance of the lumen of the duct and resolution of symptoms. Diagnostic sialendoscopy was able to diagnose the calculus in all cases. Interventional sialendoscopy was done under general anesthesia in all cases and calculus was successfully removed. The average size of sialolith was 8.2 mm. No complications occurred in any of the cases. Check sialendoscopy was done in all cases after a minimum follow up of 6 months, which showed the duct lumen to be free of stone with no stricture of the duct. Sialendoscopy is an optimal technique for removal of intraductal parotid calculi and avoids removal of the gland. In our series there was no associated morbidity and complication.
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References
Harrison JD (2009) Causes, natural history and incidence of salivary stones and obstructions. Otolaryngol Clin N Am 42:927–947
Patel RS, Low TH, Gao K et al (2007) Clinical outcome after surgery for 75 patients with parotid sialadenitis. Laryngoscope 117(4):644–647
Fritsch MH (2009) Sialendoscopy and lithotripsy: literature review. Otolaryngol Clin N Am 42:915–926
Marchal F, Becker M, Dulguerov P, Lehmann W (2000) Interventional sialendoscopy. Laryngoscope 110:318–320
Marchal F, Dulguerov P, Becker M, Barki G, Disant F, Lehmann W (2001) Specificity of parotid sialendoscopy. Laryngoscope 111(2):264–271
Katz P, Hartl DM, Guerre A (2009) Clinical ultrasound of the salivary glands. Otolaryngol Clin N Am 42:973–1000
Iro H, Waltz G, Nitsche N, Beninger J, Schneider T, Ell C (1992) Extracorporeal shock wave lithotripsy of salivary gland stones. Laryngoscope 102:492–494
Sharma RK, Al-Khalifa S, Paulose KO, Ahmed N (1994) Parotid duct stone—removal by a dormia basket. J Laryngol Otol 108:699–701
Marchal F, Dulguerov P (2003) Sialolithiasis management—the state of the art. Arch Otolaryngol Head Neck Surg 129:951–956
Marchal F (2007) A combined endoscopic and external approach for extraction of large stones with preservation of parotid and submandibular glands. Laryngoscope 117:373–377
Walvekar RR, Bomeli SR, Carrau RL, Schaitkin B (2009) Combined approach technique for the management of large salivary stones. Laryngoscope 119(6):1125–1129
Capaccio P, Torretta S, Pignataro L (2009) The role of adenectomy for salivary gland obstructions in the era of sialendoscopy and lithotripsy. Otolaryngol Clin N Am 42:1161–1171
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Singh, P.P., Gupta, N., Goyal, A. et al. Interventional Sialendoscopy for Parotid Ductal Calculi: Our Preliminary Experience. Indian J Otolaryngol Head Neck Surg 64, 252–256 (2012). https://doi.org/10.1007/s12070-011-0361-0
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DOI: https://doi.org/10.1007/s12070-011-0361-0